By making this contribution, I affirm that the following statements are true and accurate:

This contribution is made from my own funds and not those of another.

This contribution is not made from the general treasury funds of a corporation, labor organization or national bank.

I am not a Federal government contractor.

I am a United States citizen or permanent resident alien.

Contributions are not deductible for federal income tax purposes. Individuals may contribute a maximum of $2,700 per election –primary, run-off (if applicable), and general election. Federal law requires us to use our best efforts to collect and report the name, address, occupation and name of employer of each individual whose contributions exceed $200 in an election cycle.